Membership Application Form

Please follow the numbered steps:

STEP 1: Complete the sections below.

Home

INDIVIDUAL

PARK OWNER

Title

 You do not have to provide these details but it can help.

Name

*

Name

Address

*

Company

Address

Town

*

.

County

.

Postal Code

*

 .

Home Phone

Phone

Email Address

Email

 In What Type Of Property Do You Currently Live?

(e.g. Bricks &Mortar or Park Home)

Are You In A Residents' Association?

STEP 2: Enter the date.

Today's Date

(DD/MM/YYYY)

* Required Fields

STEP 3: Print The Form

Please send this form to:

The Membership Administrator. (Individual Registrations)

IPHAS.

6 Elm Croft
Glenholt Park
Glenfield Road
Plymouth
Devon
PL6 7NZ

Please enclose cheque or money order made out to IPHAS for £5.00